    {$ERROR_MESSAGE}
      <div class="form_container">
        <form id="feedback_form" name="feedback_form" method="post" action="" class="feedback_form">
          <div class="information_row">
            <div class="name_field">
              Name:
            </div>
            <div class="input_text_field">
              <input class="fbtext" type="text" name="name" maxlength="50" value="{if isset( $NAME_VALUE ) && !empty( $NAME_VALUE ) }{$NAME_VALUE}{/if}"/>
            </div>
          </div>
          <div class="information_row">
            <div class="name_field">
              E-mail:
            </div>
            <div class="input_text_field">
              <input type="text" name="email" class="fbtext" maxlength="50" value="{if isset( $EMAIL_VALUE ) && !empty( $EMAIL_VALUE ) }{$EMAIL_VALUE}{/if}"/>
            </div>
          </div>
          <div class="information_row feedback_message">
            <div class="name_field">
              Message:
            </div>
            <div class="input_text_field">
              <textarea name="message" class="fbtext form_textarea" rows="0" cols="0">{if isset( $MESSAGE_VALUE ) && !empty( $MESSAGE_VALUE ) }{$MESSAGE_VALUE}{/if}</textarea>
            </div>
          </div>
          <div class="information_row rise_block">
            <div class="rise_block_container">
              <div class="captcha_block">
                <iframe id="captcha_frame" src='/captcha.php?width=136&amp;height=53' frameborder="0" width="150" height="60" name="captcha_frame" scrolling="no"></iframe>
              </div>
              <div class="captcha_update_block">
                If you can't recognize the characters, generate a new picture by pressing<br />
                <a id="refresh_captcha_link" target="captcha_frame" title="Refresh" href="/captcha.php?width=136&amp;height=53">
                Refresh
                </a>
              </div>
            </div>
          </div>


        <div class="information_row private_key_container">
          <div class="rise_block_container">
            <div class="input_text_field private_key_text">
              <input type="text" size="5" name="captcha" class="private_key" />
              <span class="private_key_info">&nbsp;Type the characters you see, they are not case sensitive.</span>
            </div>
          </div>
        </div>

         <div class="information_row rise_block send_button">
           <div class="rise_block_container">
             <input name="btnSend" type="image" value="Send" class="button_send" src="{$CONTENT_SERVER_URL}/images/send_button.gif" alt="Send" id="sendButton" />
           </div>
         </div>
        </form>
      </div>
